Copyright © 2005 American Academy of Pediatrics, University of North Carolina at Chapel Hill for its North Carolina Center for Children’s Healthcare Improvement, and National Initiative for Children’s Healthcare Quality Adapted from the Vanderbilt Rating Scales developed by Mark L. Variations, taking into account individual circumstances, may be appropriate.
Organizational skills 1 2 3 4 5 The recommendations in this publication do not indicate an exclusive course of treatment or serve as a standard of medical care. NICHQ Vanderbilt Assessment Scale: Teacher Informant ASSESSMENT AND DIAGNOSIS of 3 Symptoms (continued) Never Occasionally Often Very Often 19. 03/17/16) Scan to Questionnaire Health NICHQ VANDERBILT ASSESSMENT. Interrupts or intrudes in on others’ conversations and/or activities 0 1 2 3 Somewhat Above of a Performance Excellent Average Average Problem Problematic 19. Fails to give attention to details or makes careless mistakes in. Has difficulty waiting his or her turn 0 1 2 3 18. NICHO Vanderbilt Assessment Scale TEACHER Informant. Blurts out answers before questions have been completed 0 1 2 3 17. NICHQ Vanderbilt Assessment Scale-TEACHER Informant Teachers Name: Class Time:-Class Name/Period: Todays Date: Childs Name: -Grade. NICHQ Vanderbilt Assessment ScaleTEACHER Informant. Is “on the go” or often acts as if “driven by a motor” 0 1 2 3 15. Has difficulty playing or beginning quiet play activities 0 1 2 3 14. Runs about or climbs too much when remaining seated is expected 0 1 2 3 13. NICHQ Vanderbilt Assessment Follow-up-TEACHER Informant. Leaves seat when remaining seated is expected 0 1 2 3 12. about your childs behaviors since the last assessment scale was filled out when rating his/her. AAP CARING FOR CHILDREN WITH ADHD: A PRACTICAL RESOURCE TOOLKIT FOR CLINICIANS. Fidgets with hands or feet or squirms in seat 0 1 2 3 11. Vanderbilt Assessment Scale: ADHD Toolkit Teacher-Informant Form. NICHQ Vanderbilt Assessment ScaleTEACHER Informant Teacher's Name Class Time Class Name/Period Today’s Date Child’s Name Grade Level Directions: Each rating should be considered in the context of what is appropriate for the age of the child you are rating and should reflect that child's behavior since the last assessment scale was filled out. Please indicate the number of weeks or months you have been able to evaluate the behaviors. View NICHQ-Vanderbilt-Assessment-Scales.pdf from COSC 622 at Liberty University. Is forgetful in daily activities 0 1 2 3 10. and should reflect that child’s behavior since the last assessment scale was filled out. Is easily distracted by noises or other stimuli 0 1 2 3 9. Loses things necessary for tasks or activities (toys, assignments, 0 1 2 3 pencils, or books) 8. Avoids, dislikes, or does not want to start tasks that require ongoing 0 1 2 3 mental effort 7. Has difficulty organizing tasks and activities 0 1 2 3 6. Does not follow through when given directions and fails to finish 0 1 2 3 activities (not due to refusal or failure to understand) 5. Does not seem to listen when spoken to directly 0 1 2 3 4. Has difficulty keeping attention to what needs to be done 0 1 2 3 3. Does not pay attention to details or makes careless mistakes with, 0 1 2 3 for example, homework 2. Is this evaluation based on a time when the child ■ was on medication ■ was not on medication ■ not sure? Symptoms Never Occasionally Often Very Often 1. Please indicate the number of weeks or months you have been able to evaluate the behaviors: _. Directions: Each rating should be considered in the context of what is. Does not pay attention to details or makes. NICHQ Vanderbilt Assessment Scale-TEACHER Informant. D6 NICHQ Vanderbilt Assessment Follow-up-TEACHER Informant Teacher’s Name: _ Class Time: _ Class Name/Period: _ Today’s Date: _ Child’s Name: _ Grade Level: _ Directions: Each rating should be considered in the context of what is appropriate for the age of the child you are rating and should reflect that child’s behavior since the last assessment scale was filled out. NICHQ Vanderbilt Assessment Scale: Teacher Informant Is this evaluation based on the time when the child 1.
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